Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Dr, Suite 1347, Stanford, CA 94305-5515, USA; Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Dr, Suite 1347, Stanford, CA 94305-5515, USA; Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Trends Cardiovasc Med. 2021 Aug;31(6):341-348. doi: 10.1016/j.tcm.2020.06.008. Epub 2020 Jun 27.
The growing appreciation of human genetics and genomics in cardiovascular disease (CVD) accompanied by the technological breakthroughs in genome editing, particularly the CRISPR-Cas9 technologies, has presented an unprecedented opportunity to explore the application of genome editing in cardiovascular medicine. The ever-growing genome editing toolbox includes an assortment of CRISPR-Cas systems with increasing efficiency, precision, flexibility, and targeting capacity. Over the past decade, the advent of large-scale genotyping technologies and genome-wide association studies (GWAS) has provided numerous genotype-phenotype associations for diseases with complex traits. Notably, a growing number of loss-of-function mutations have been associated with favorable CVD risk-factor profiles that may confer protection. Combining the newly gained insights of human genetics with recent breakthrough technologies, such as the CRISPR-Cas9 technologies, holds great promise in elucidating novel disease mechanisms and transforming genes into medicines. Nonetheless, translating genetic insights into novel therapeuties remains challenging. Applications of "in body" genome editing for CVD treatment and engineering cardioprotection remain mostly theoretical. Here we highlight the recent advances of the CRISPR-based genome editing toolbox and discuss the potential and challenges of CRISPR-based technologies for translating GWAS findings into genomic medicines.
人类遗传学和基因组学在心血管疾病(CVD)中的应用日益受到重视,同时基因组编辑技术也取得了突破性进展,特别是 CRISPR-Cas9 技术,这为探索基因组编辑在心血管医学中的应用提供了前所未有的机会。不断增长的基因组编辑工具包包括一系列具有越来越高效率、精度、灵活性和靶向能力的 CRISPR-Cas 系统。在过去的十年中,大规模基因分型技术和全基因组关联研究(GWAS)的出现为具有复杂特征的疾病提供了许多基因型-表型关联。值得注意的是,越来越多的功能丧失突变与有利的 CVD 风险因素谱相关,可能提供保护。将人类遗传学的新见解与 CRISPR-Cas9 等新兴突破性技术相结合,有望阐明新的疾病机制并将基因转化为药物。然而,将遗传见解转化为新的治疗方法仍然具有挑战性。将“体内”基因组编辑应用于 CVD 治疗和心脏保护工程的应用在很大程度上仍处于理论阶段。本文重点介绍了基于 CRISPR 的基因组编辑工具包的最新进展,并讨论了基于 CRISPR 的技术将 GWAS 发现转化为基因组医学的潜力和挑战。